Common use of File Level Editing Clause in Contracts

File Level Editing. ‌ Upon the BCRC’s receipt of the SPAP Input File, high-level file edits are performed to verify the Input File’s format and validity. Header and Trailer data and record counts are verified. The size of the SPAP Input File (number of records contained in the file) is compared to the size of the previous monthly file submitted. If the new file size is less than 70% of the previous month’s file, a “severe error” will be produced, processing of the current Input File will be placed on hold, and the SPAP partner will be notified. Since the method for deleting existing enrollees in full file replacement processing is to not include them in a newly submitted file, if a new file is less than 70% of the size of the previous file the SPAP partner will be asked to verify what appear to be the high number of “delete” records in the new submission. The new Input File is then processed at the record level to determine if each incoming enrollee record is an add, update, or delete, or if no action will be taken. The system also initially attempts to convert any SSN to a Medicare ID (HICN or MBI) if a Medicare ID is not submitted on the input record.

File Level Editing. ‌ Upon the BCRC’s receipt of the SPAP Input File, high-level file edits are performed to verify the Input File’s format and validity. Header and Trailer data and record counts are verified. The size of the SPAP Input File (number of records contained in the file) is compared to the size of the previous monthly file submitted. If the new file size is less than 70% of the previous month’s file, a “severe error” will be produced, processing of the current Input File will be placed on hold, and the SPAP partner will be notified. Since the method for deleting existing enrollees in full file replacement processing is to not include them in a newly submitted file, if a new file is less than 70% of the size of the previous file the SPAP partner will be asked to verify what appear to be the high number of “delete” records in the new submission. The new Input File is then processed at the record level to determine if each incoming enrollee record is an add, update, or delete, or if no action will be taken. The system also initially attempts to convert any SSN to a Medicare ID (HICN or MBI) if a Medicare ID HICN is not submitted on the input record.